With support from the John A. Hartford Foundation, the Center for Medicare Advocacy has produced a new Checklist to help Medicare beneficiaries and their families respond to unfair Medicare denials for home health care based on an erroneous … [Read more...] about Checklist for Medicare Home Health Care “Improvement Standard” Denials
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New Jimmo Resources from the Center for Medicare Advocacy and The John A. Hartford Foundation
With support from The John A. Hartford Foundation, the Center for Medicare Advocacy has produced two new Checklists to help Medicare beneficiaries and their families respond to unfair Medicare denials based on an erroneous “Improvement … [Read more...] about New Jimmo Resources from the Center for Medicare Advocacy and The John A. Hartford Foundation
Fact Sheet – Medicare Home Health Coverage In Light of Jimmo v. Sebelius
With support from the John A. Hartford Foundation, the Center for Medicare Advocacy provides the following Fact Sheet to help Medicare home health beneficiaries and their families respond to unfair Medicare denials based on an erroneous … [Read more...] about Fact Sheet – Medicare Home Health Coverage In Light of Jimmo v. Sebelius
Fact Sheet – Skilled Nursing Facility Coverage and Jimmo v. Sebelius
With support from the John A. Hartford Foundation, the Center for Medicare Advocacy provides the following Fact Sheet to help Medicare nursing home beneficiaries and their families respond to unfair Medicare denials based on an erroneous … [Read more...] about Fact Sheet – Skilled Nursing Facility Coverage and Jimmo v. Sebelius
Administrative Law Judge Rules Medicare Covers Outpatient Therapy to Maintain Function, Indefinitely if Needed
A young man who suffered a traumatic brain injury (TBI) following a fall in 2008 was receiving outpatient physical therapy three times a week. While his therapy was originally covered by his Medicare Advantage (MA) plan, the plan denied further … [Read more...] about Administrative Law Judge Rules Medicare Covers Outpatient Therapy to Maintain Function, Indefinitely if Needed
Toolkit: Medicare Outpatient Therapy and Jimmo v. Sebelius
Jimmo v. Sebelius, No. 11-cv-17 (D. VT), is a nationwide class-action lawsuit brought on behalf of Medicare beneficiaries who received care in skilled nursing facilities, home health care, and outpatient therapy and who were denied Medicare coverage … [Read more...] about Toolkit: Medicare Outpatient Therapy and Jimmo v. Sebelius
Toolkit: Medicare Home Health Coverage & Jimmo v. Sebelius
Jimmo v. Sebelius, No. 11-cv-17 (D. VT), is a nationwide class-action lawsuit brought on behalf of Medicare beneficiaries who received care in skilled nursing facilities, home health care, and outpatient therapy and who were denied Medicare coverage … [Read more...] about Toolkit: Medicare Home Health Coverage & Jimmo v. Sebelius
Congress Repeals Medicare Outpatient Therapy Caps, Strengthening the Jimmo Settlement Agreement
On February 9, 2018, the Bipartisan Budget Act of 2018 was signed into law by the President. The budget act includes a “health extenders” package that, among other changes, permanently repeals annual Medicare payment limits (or caps) on … [Read more...] about Congress Repeals Medicare Outpatient Therapy Caps, Strengthening the Jimmo Settlement Agreement
Toolkit: Medicare Skilled Nursing Coverage and Jimmo v. Sebelius
Jimmo v. Sebelius, No. 11-cv-17 (D. VT), is a nationwide class-action lawsuit brought on behalf of Medicare beneficiaries who received care in skilled nursing facilities, home health care, and outpatient therapy and who were denied Medicare coverage … [Read more...] about Toolkit: Medicare Skilled Nursing Coverage and Jimmo v. Sebelius
Practice Tip: Orders Needed for Maintenance Skilled Care
Based on recent experience, the Center for Medicare Advocacy provides this Practice Tip for providers and advocates for patients who need to change from an improvement mode to maintenance mode for nursing or therapy.The Center is seeing decisions … [Read more...] about Practice Tip: Orders Needed for Maintenance Skilled Care